Esteve M Rosa, Camacho Laura
Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Universidad de Málaga, Campus de Teatinos, 29071 Málaga, Spain.
Behav Res Ther. 2008 Jun;46(6):715-27. doi: 10.1016/j.brat.2008.02.012. Epub 2008 Mar 4.
The aim of the present study was to investigate the role of anxiety sensitivity (AS) as a factor relevant to pain and pain persistence. Two studies were conducted to examine the relationship between AS, body vigilance and the experience of pain in non-clinical samples. Study 1 investigated the relationship between AS and body vigilance that was operationalized by the detection latency for innocuous electrical stimuli; trait anxiety and neuroticism were also included as covariates. Results indicated that the high AS group (N=69) presented shorter detection latency than the low AS group (N=70); neuroticism and trait anxiety did not have significant effects on detection latency. Using another sample, Study 2 investigated the relationship between AS, body vigilance, pain tolerance, catastrophizing, and self-reported distress and pain during a cold pressor task. Neuroticism, trait anxiety and fear of pain were included as covariates. Results showed significant differences between high- (N=66) and low- (N=69) AS groups in body vigilance, catastrophizing and tolerance. The covariates neuroticism, trait anxiety and fear of pain did not have any significant effects. No significant differences were found in pain and distress ratings. Results from both studies support the importance of AS in body vigilance and the experience of pain. The theoretical, preventive and clinical implications of these findings are discussed.
本研究的目的是调查焦虑敏感性（AS）作为与疼痛及疼痛持续相关因素的作用。开展了两项研究，以检验非临床样本中AS、身体警觉性与疼痛体验之间的关系。研究1调查了AS与通过无害电刺激检测潜伏期来操作化的身体警觉性之间的关系；特质焦虑和神经质也作为协变量纳入。结果表明，高AS组（N = 69）的检测潜伏期比低AS组（N = 70）短；神经质和特质焦虑对检测潜伏期没有显著影响。研究2使用另一样本，调查了冷加压任务期间AS、身体警觉性、疼痛耐受性、灾难化思维以及自我报告的痛苦和疼痛之间的关系。神经质、特质焦虑和疼痛恐惧作为协变量纳入。结果显示，高AS组（N = 66）和低AS组（N = 69）在身体警觉性、灾难化思维和耐受性方面存在显著差异。协变量神经质、特质焦虑和疼痛恐惧没有任何显著影响。在疼痛和痛苦评分方面未发现显著差异。两项研究的结果均支持AS在身体警觉性和疼痛体验中的重要性。讨论了这些发现的理论、预防和临床意义。
